Journal of Cutaneous and Aesthetic Surgery
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   Table of Contents     
AUTHORS' REPLY  
Year : 2013  |  Volume : 6  |  Issue : 3  |  Page : 173-174
Authors' Reply


1 Department of Vascular Surgery, Vascular and Endovascular Surgery Research Center, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
2 Trauma Research Center, Department of General Surgery, Shiraz University of Medical Sciences, Shiraz, Iran

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Date of Web Publication19-Sep-2013
 

How to cite this article:
Ravari H, Modaghegh MHS, Kazemzadeh GH, Johari HG, Rajabnejad Y. Authors' Reply. J Cutan Aesthet Surg 2013;6:173-4

How to cite this URL:
Ravari H, Modaghegh MHS, Kazemzadeh GH, Johari HG, Rajabnejad Y. Authors' Reply. J Cutan Aesthet Surg [serial online] 2013 [cited 2020 Aug 5];6:173-4. Available from: http://www.jcasonline.com/text.asp?2013/6/3/173/118437


Sir,

We appreciate Viroj Wiwanitkit's [1] comments on our article: "Comparison of vacuum-asisted closure (VAC) and moist wound dressing in the treatment of diabetic foot ulcers". [2] They have mentioned that although VAC can be useful for diabetic foot care, its complications such as retention of polyurethane foam should be kept in mind.

Negative pressure wound therapy (NPWT) or VAC therapy is a closed-loop, non invasive active system, characterised by a controlled and localised negative pressure applied on porous polyurethane absorbent foams. It promotes healing of acute and chronic wounds. [3]

Every therapeutic modality has its own advantages and disadvantages. For example, in NPWT, small fragments of foam can be left in the wound and delay the wound healing. This is a very rare complication and there are many randomised clinical trials which show that NPWT is a safe and effective treatment modality for different acute or chronic ulcers with different etiologies. [4,5] So, there is no doubt that only qualified medical/paramedical personnel should use it to avoid possible complications that can occur after an improper application. [3]

In conclusion, we believe that using VAC by a trained and expert medical team is a very safe and effective therapeutic option for diabetic foot ulcers in well selected patients.



 
   References Top

1.Wiwanitkit V. Vacuum-assisted closure and moist wound dressing in diabetic foot. J Cutan Aesth Surg 2013;6:173.  Back to cited text no. 1
    
2.Ravari H, Modaghegh MH, Kazemzadeh GH, Johari HG, Vatanchi AM, Sangaki A, et al. Comparision of vacuum-asisted closure and moist wound dressing in the treatment of diabetic foot ulcers. J Cutan Aesthet Surg 2013;6:17-20.  Back to cited text no. 2
  Medknow Journal  
3.Dessy LA, Serratore F, Corrias F, Parisi P, Mazzocchi M, Carlesimo B. Retention of polyurethane foam fragments during VAC therapy: A complication to be considered. Int Wound J 2013.  Back to cited text no. 3
    
4.Vikatmaa P, Juutilainen V, Kuukasjärvi P, Malmivaara A. Negative pressure wound therapy: A systematic review on effectiveness and safety. Eur J Vasc Endovasc Surg 2008;36:438-48.  Back to cited text no. 4
    
5.Blume PA, Walters J, Payne W, Ayala J, Lantis J. Comparison of negative pressure wound therapy using vacuum-assisted closure with advanced moist wound therapy in the treatment of diabetic foot ulcers: A multicenter randomized controlled trial. Diabetes Care 2008;31:631-6.  Back to cited text no. 5
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Correspondence Address:
Hamed Ghoddusi Johari
Trauma Research Center, Department of General Surgery, Shiraz University of Medical Sciences, Shiraz
Iran
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Source of Support: None, Conflict of Interest: None


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